From those of us who lost our jobs and are struggling to feel our families, we so greatly appreciate you giving us this information freely to help us stay healthy! Thank you!
@@PrevMedHealth My triglycerides are above 300 and my HDL is around 60 so the Tg/ HDL ratio is about 5. I am 50. I don't smoke or drink. I have tried to lower my triglycerides for more than 15 years now, changing meds with the consultation of my physician. But my tgs are very stubborn. I also have a renal issue. I consult my nephrologist regularly. What is your advice for me ?
Thank you for the information. All i get from my primary is pill after pill with zero conversation. I know she will scoff at my next visit and I mention all of these excellent youtube videos even though my blood work will be vastly improved.
I dropped 80 lbs in 8 months. Dr wanted to Rx a statin, oral insulin, BP meds and a CPAP. Asked her to give me 6 months. Better nutrition choices, no alcohol, no sugar, calorie deficit, and intermittent fasting daily exercise. In one year my Triglyceride went from 173 down to 54. HDL went up from 38 to 57. Oh, and didn't completely eliminate carbs other than cut out bread, pasta, not much rice.
After 5 months on keto, my HDL number nearly doubled to 76 while my triglycerides dropped from 76 to 56, so my triglyceride/HDL ration dropped from 1.86 to 0.74. My dr. was so happy with that & the weight I lost he didn't care that my LDL was high. I also got off of 4 hypertension meds, some I had been on for 20 years.
I had a heart attack at 56 two years ago. Helicopter ride, 3 stents, survived. Got CAC score, high. My triglycerides/HDL was around 8x. I then went LCHF, and my ratio dropped to 1.1x, and is in the 1-2 range today. My Mayo cardiologist is fixated on LDL, wants me on PCSK9 inhibitor. No way. To his credit, when I told him about tri/HDL, he looked it up on the internet. I hate statins, they mess with my head, and I consider LDL to be good. sdLDL not so much. Anyway, I am sticking with low carb for life and will remain focused on tri/HDL. Hopefully that'll help me keep that CAC score from growing. My understanding is that stabilizing the CAC score equates to sharp lessening of risk of another heart attack....
It's still a marker, you eat fatty refined foods and your cholesterol will go up. You eat omlettes everyday your cholesterol will increase. What is the cholesterol level of those people scheduled for coronary bypass operations.. the TC/HDL is always poor. High cholesterol is often a sign of bad diet. It's not a cause but the fraction is a strong marker. If you want evidence I refer you to the Appendix of an old book called the Pritikin Program for Diet and Exercise, all these studies are shown.
@@TB1M1 Well, I also had a year ago a ultra-high TC/HDL-C ratio. My GP - an internal medicin specialist - only looked at the LDL-C, saying everything else was OK. TC was above 300 mg/dl and HDL-C below 40, i.e. the mass concentration ratio close to 9. That was on a whole food carb-rich, fruit-rich, low-meat, no fast food "healthy" diet. My AIP, the artherisclerotic index of plasma" was through the roof (>0.5). My GP did described Rosuvastatin for primary prevention due to the borderline high LDL-C: I took it for a month. Now I am for 7 months on a LCHF diet: LDL-C went marginally down (- 10 mg/dl), but the TC fell below 80 mg/dl and HDL-C rose to 50. AIP is negative now and according to all CVD-models I'm at much lower risk. For the Framingham Offspring Study model I went from the "very high risk" to the "low risk" group. By the way, with an average of 3 eggs a day and nearly all fat from dairy (cheese, full fat yogurt and "quark", butter, ghee). Eggs and therefore omlettes are not a risk factor for CVD, that idea is outdated. Key was imho to get rid of starches and sweet fruits. That for the diatary advice... It is frightening that the original poster had to educate an Mayo clinic cardiologist about the TC/HDL-C and the AIP. My German "internal medicin specialist", in some way also a specialist in CVD, is similar ignorant for scientific facts found 15 years ago. And that is in the USA and in Germany, with all the money that goes into the medical sector in these countries we should have better doctors...
Total cholesterol- 480 Triglycerides- 104 HDL- 64 VLVD CAL-17 LDL CHOL CAL -399. lean mass hyper reponder? 6 months on strick carnivore and havent felt this good in year's.
The Dogmatic practice of ignoring elevated insulin and treating elevated glucose & cholesterol with medication is a heavily marketed concept in the Medical Community. Thanks for this presentation.
@@PrevMedHealth have you heard of Dr. Richard K Bernstein for treating diabetics and pre diabetics with a low carbohydrate high protein diet? His plan reversed the onset of diabetic nephropathy after 23 years of T1D. Now my eGFR rose from 84 to 101 in just 8 months of HbA1c below 5% He also mentions the triglycerides/HDL ratio, mine went from 4.5 to 0.9 in those 8 months. Wish more clinical doctors actually gave patients good information for self care instead of dealing with the complications of a poor diet.
Remember: The medical and pharmaceutical sectors are, in fact, industries that require a continuous supply of sick individuals. The financial priorities of the governing corporations, institutions, associations, and politicians are inversely correlated to the general health of the U.S. population.
Ugh.. Lost 80 lbs over the course of 5 years, reversed Type 2 Diabetes, have a current Trig /HDL ratio of .56 (HDL=88, Trigs=49) and my Dr. wants to kill me because my LDL is very high (Type A fluffy). Never had much of a cholesterol problem until I lost all that weight. Ordered my own NMR lipid profile and tried to go over it with my Dr.. His response was, "you probably know more about this than I do." Great, appreciate the honesty but can't get any straight answers in this world of corporate medicine!
You know that large LDL is arterogenic too? You want to compleatly ignore that for the fact that it might be (not proven) less arterogenic then sdLDL? You are still at higher risk then normal due to Type 2 diabetes, probably had high blood pressure. LDL target should be below 100 which you could try with diet by replacing saturated with unsaturated fat and especially meat and butter, most dairy is fine, according to newer studies.
@@diegodesouza9697 Since you commented, I can tell you why this happened to the poster here. I‘ve since read some studies. Cholesterol rises with BMI only in normal weight. Obese have stable or lower cholesterol. Why? Triglycerides are everywhere in the LDL and HDL particles and thus less cholesterol is transported when you are metabolically unhealthy. High Trigs, low HDL-C and normal or even low LDL-C.
A mix. Primarily clean Keto combined with Intermittent Fasting. My Dr and Nutritionist however have built in 1-2 (Up to me) "Recovery Days" per week where I am to carb up a bit. This doesn't mean I go for pizza and beer, but rather can indulge in plenty of good carbs from low GI fruits and high fiber vegetables. I do occasionally sneak in that pizza and beer though, which can really be worth the total fast I do the following day. :-)
My TRG was never high at around 60, but my HDL would be around 40. My first physical after 4 months on keto, my TRG dropped to 40 while my HDL went up to 60 making my TRG/HDL ratio under 1.
Also. There are references to HDL/TG vs TG/HDL . The ratio that is important is that HDL is greater than TG, or that TG is less than HDL, That can be explained much more clearly. Best if TG is half of HDL, or if HDL is twice the TG.
Terrific discussion & presentation Dr. Brewer! I hope that you are going to cover plaque formation of the endothelial lining at some point. No one has explained why LDL (which is a much larger molecule than HDL) is taken up & deposited in the walls over HDL. Since the HDL molecule is much smaller, you would think that it would more easily diffuse across the membrane & be preferentially deposited. In any event, keep up the great work that you are doing.........Be well & stay safe.........👍👍😉😉
Inflammation in the arteries is caused primarily by habitually high blood sugar and insulin resistance. Stop eating sugar, bread, and highly refined carbs and foods; eat a very low-carb diet; stop drinking soda (with natural and artificial sweeteners); and stop drinking all alcohol. Eat a diet high in vegetables. Eat only meat (and eggs) from pasture-raised animals fed organic feed to keep Omega-3 higher than Omega-6 (also no antibiotics in the feed). Exercise daily (weight resistance and aerobic exercise). Keep your BMI under 25. Do all of this and include taking the right supplements like Vitamin K2, Vitamin D, Magnesium, Omega-3 fish oil, virgin olive oil, and Niacin (non-flush-free) - triglycerides will fall dramatically, and plaque formation will be reduced, eliminated, and possibly reversed. I am not a doctor - just a guy with common sense who reads a lot. All it takes is knowledge and self-discipline.
Here are 3 questions, for everyone's benefit: 1. What is the ideal ratio, and how does it vary based on race or culture/region? 2. When calculating the ratio, should we use TG/HDL or HDL/TG? 3. What other test results should be considered when determining the final ratio, such as T4 and others? Your expertise, and videos, are greatly appreciated.
LDL 200 HDL 90 Cholesterol 299 Triglycerides 43 I'm 36 yo female, healthy diet, exercise regularly, BMI 21, A1C 4.9, random insulin level 3. I had my labs come back and my lipid panel looks concerning but makes no sense . Trying to make sense of these numbers.
I've read this study before. But, there are some serious exceptions to it. In my case, my TG are below 100, and my HDL is in the 70's. My calculated ratio is around 1.35, which is way below the 3.0 ratio which indicates severe risk for CAD. It's always been around that level. And, yet, at 47, I have REALLY BAD CAD. I don't smoke either. I used to know an older Pakistani guy who had familial hypercholestemia and unreal high TG. He told me his whole story. Great runner too, by the way, and I used to run hills and long runs with the guy. When he was in his 30's, he had a blood test, and the nurses immediately called his wife and told her he needs to get into the hospital ASAP. His TG were literally in the thousands. He also had high cholesterol levels. He said he tried dieting and stopped eating anything with fats or cholesterol, and he said his #'s barely went down 10%. But, he kept trying that and exercising and eventually started Niacin therapy. He did this for 20 years, and finally gave into statins. But, he had a stress echo and carotid IMT and they said his carotids were clean. Not sure what his coronaries looked like, but at 55 years of age, he had no real sign of heart disease. So, anyways, there's always exceptions to these studies.
Yes, we are one and unique. Never compare to another human being's physiology. As patients, we should be treated as unique individuals and not like equal physiological beings.
Really appreciate the colored Slides & written explanation, much easier to understand by going back to match hearingv& written word. Hearing language from 50 years ago does not compute as fast in a 73 yo brain. I was very upset with you on Saturday when I could only listen & not see the printed words. A big THANK YOU❤
High TG in the blood is from the liver turning all the excess glucose you eat into fat and shipping it off to be stored. You fix this by going low carb/keto. Good numbers are TG below 80 and HDL above 60. So a ratio of 1.3. Otherwise you are likely pattern B and at risk.
My heart went out of rhythm and I was prescribed 13 different meds. My triglycerides went to 2150. My cholesterol went to 135, hdl was 29, ldi was in the 50s. My blood sugar was in the 90s. Last doctor visit my triglycerides were at 65. My cholesterol was 159. My hdl was at 58. My ldl was at 99. My blood sugar was 153.
Ok so to simplify/summarize, what shld the triglycerides / hdl be?? And lowering...processed food consumption will lower that ratio for sure..and refined carbs. There are different types of carbs and diff types of fats.
My HDL was 60 and my triglycerides 70 my LDL 160 (always been elevated since my youth), and I was 66 when diagnosed with pre diabetes. See there are some of us with almost great number that deviate from the rule. I got familial DM2 trait; I never been overweight, and always followed a moderate approach to health with food and life style. I do not have HTN either. Regardless, here I was been told I was pre diabetic. What a disappointment. After the initial shock, I went on to follow a keto diet with IF two meals a day and increased my exercise routine. My CAC is 0 score. I believe I have the fluffy LDL particle most abundant. I am thinking about an NMR test. But my ratio of t/h is good, and always has been. My dr has been unsuccessful at getting me to accept the statins. I do not think my LDL is a problem. My HDL and trig are even better in 2023 90 and 47. The human body can be very deceiving; we are similar, but not the same.
I’m 61 male. Your numbers are very similar to mine. My trys are 79, HDL 61, LDL 131, VLDL 14. Total 236. So…my trys over HDL is greatly improved, VLDL is good. but my LDL and total went to the moon. Lots of working out, in good shape, not fat, green shakes and salads. But lots of fat..salmon, grass fed meats, organic chicken, real cheese, various nuts. But…I’ve been pre diabetic 5.9 A1C, 123 average glucose. Resting glucose 100. Don’t know how to get sugars down.
Hey, ynotttt... Looks like you're doing so much. Keep at it. Don't give up. Maybe try strict carnivore - the lion diet - just beef water & salt for about a month or so then revisit & you will see how you feel & how much more you improve then maybe do another month or decide to introduce other ruminant animals like lamb, sheep etc. It may just be all you need to help get those sugars down more that you're still battling with! Doesn't have to be forever. Just a little extra tweak to your Keto/low carb lifestyle you may want to explore. It doesn't cost you anything but may just be that one approach & tool that may prove to be beneficial 😊 It's helped me & many many others tremendously. I've never looked back!
Great video!! I'm a 60 yr old woman. My levels are as follows: Total Cholesterol-230, TG 60, HDL 74, LDL 146 ApoB is 102, which shows it's 'high'. Will I have to consider getting on a Statin? I hope not! Also, what's my TG/HDL Ratio?Thanks!
Can someone have ideal HDL, triclycerides, LP (a), but yet have APO B that is well above the recommended upper limit? And if so, would that high reading still carry the same weight regarding risk?
Thanks for this information. I’m 64. My most recent lipid panel is as follows…… LDL - 101 HDL - 90 TG - 61 My TG/HDL ratio is .67 I lost 25 lbs cutting back on carbs and sugar along with regular exercise and has got me going in the right direction.
Another great video !! I've recently had my AAA repaired after discovering it 12 years ago. I had to have a Cardiologist do an angioplasty to rule out a blockage but found none and so he oked the surgery for the AAA. I'd like to add that the blockage was 50% in 2002 but clear now as are my caroids that were 49 and 47 % blocked but now are less than 12%. I had a Y branch stent in my aorta and femal arteries and although I was sore for a bit I'm back to working building my sand bag house carrying 50 pound bags up the ladder and I'm 75 now. I've gotten a release from my Vascular surgeon a month ago after 10 months of no workouts and working and not lifting over 10 pounds. She said be prepared to spend 5 days for recovery but was released in 24 hours as my health was excellent after changing my entire lifestyle for the past 20 yrars. I've explained that I worked for Abbotts and don't take meds of any kind and I'm very proactive about my health. I've been watching your channel for years now and admire your no nonsense delivery to us who need direction. Keep the videos coming and touching many lives. GOD bless you.
Thanks for the informative video Dr. Brewer, I've always been health conscience. Thought I was doing the right thing, sounds like to my own detriment. I was wrong. I've been going through a liter of extra virgin olive oil consuming it daily with lemon juice in a shot glass every morning thinking I was cleaning out my arteries! From the sound of it I hope that I have not caused heart damage or plaque buildup in my arteries.
Interesting. My total cholesterol is ALWAYS high. However, my HDL is always very good. Last test showed 257 total, 167 LDL, 46 TGL and 82 HDL. So my TGL/HDL ratio is below 1 and my Total/HDL ratio is 3.1. I work out a lot and I've always eaten fairly decent. I'm eating a lot better now because my doctor told me that my blood pressure was higher than normal. I try to eat a lot of blueberries, raw broccoli, cauliflower and carrots and at least 1 avocado a day.
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This is so interesting. It makes me feel a bit better after receiving my blood work . After 9 months on Repatha my LDL is higher than I would like BUT my triglycerides went down to .51 ( canada) and HDL up. ( my tri/HDL ratio is .2 ). I do have FH also follow a Mediterranean diet. I know my lipid specialist isn’t going to like the LDL number but will be interesting to see if my plaque has gone down in my carotid ultrasound.
Eating too much sugar/starch = elevated levels of triglycerides. Get your HDL over 40 and your triglycerides below 100-ish so your Hdl/TIA ratio is less than 1 and you can worry less.
I'm in my 60's. My triglycerides are 10 times my HDL. No heart disease according to two cardiologists. Imaging of heart and arteries are "Excellent". I'm happy about that but don't know why this is. My parents had perfect lipid panels yet both died from CV issues. I'm the one with crummy lipid tests and clean and clear arteries.
I just got my lipid test results back. Everything looks great except my HDL is only 32. My total cholesterol was 94. I have never had low HDL. I suspect the statin the cardiologist insists I take because my LDL and total was very high once. I’ve always been able to bring that right back down by drinking more water, less sweets, no fried or fast foods and fewer carbs.
My triglycerides are low .94mmols/L but my HDL is also really low 2.2mmols/L and my ratio is 0.42 which is excellent, so why are they both low and my ratio is great but I’m told my HDL is too low?? My LDL is calculated at 5.0mmols/L total cholesterol is 7.7mmols/L (deemed high), I have a feeling that I have become an FH after months of keto and lots of walking so I re-introduced some carbs. My bloods were taken after 16 hours if fasting but my fasting glucose was quite high at 5.5mmols/L (I’m in Ireland 🇮🇪). I can’t seem to get any answers in what the story is when BOTH tri and HDL are low… genetics?
Great video! A recent blood work reveals: TC 273 HDL 59 TG 58 LDL 208 TG/HDL Ratio 1.0 Please, should I go on statins? Have high blood pressure and suspect FH.
The easiest way, no matter what the individual measurements are, is to say "The bigger # over the smaller # should be bigger than 2:1, with respect to 3-Glyc and HDL .. focussing on the good stuff (HDL)
Hi Dr. Brewer, my cholesterol test results are as follows: total cholesterol=263, HDL=85, Triglycerides=53, LDL=169 (Apo A 1.7, Apo B=1.1). My blood pressure is 100/60. Glucose = 90. My BMI= 20.5. I am a 49 years old woman. I’ve been on intermittent fasting (16/8) and low carb diet for the last 2 years. Should I be worried about high LDL? I’am so confused as different doctors have told me completely different things…
Since going on a keto diet my labs have improved tremendously. My LDL is slightly high at 136 but I'm not worried about it because I would bet it's mainly the large type LDL. My cholesterol is 200. HDL is 54 and Trigl is 48. Should I be worried?
What are your other risk factors. If you had coronary heart disease I would worry about your LDL-C, If you don‘t really have any risk factors I don‘t. Does not matter if it is only the large type. They cause arteriosclerosis too and should not be ignored. Neither should be insulin resistance. Both are important. The danger of this exact ratio is to just ignore high LDL. This is the case by many low carb gurus telling people to just do that if TG/HDL is good. The thing is you can have arteriosclerosis and heart attacks as well when you are metabolically healthy. I would not put so much emphasis on HDL, HDL increasing drugs were tested and had no effect on cardiovascular risk. Your triglycerides are low, that‘s good.
Im confused. Can someone tell me if im high risk or at risk for cardiac issues? Total cholesterol: 223; Triglycerides 62; HDL 74; LDL 134; Glucose 78. I do have hypothyroidism, 37 yr old F, non smoker/drinker, exercise daily, 127lbs, I do intermittent fasting daily. My endocrinologist told me to go plant base to lower my TPO thyroid antibodies since they are extremely high (330).
My numbers at the time I was doing lion diet. Note I am on a statin - Cholesterol 110, HDL 66, LDL 31, trigs 64, APOB 45, Non HDL 44. He commented it was the best improvement he’d ever seen. I didn’t tell I had changed my diet to carnivore.
Hi Doc, I'm a new subscriber here. I'm truly amazed at how passionate and succinct your videos are! I just had my lipid profile test. I'm from the Philippines and not sure if we have the advanced version of the test. Here are my results: Total Cholesterol: 4.88 mmol/l HDL: 1.38 mmol/l TG:. 71 mmol/l Direct LDL: 3.40 mmol/l VLDL:. 32 mmol/l Our cardiologist said I should take avator/statin to lower it down. I didn't do it cause it felt like it was a shortcut and just couldn't believe that is the only solution. I have no diabetes. I passed my stress test and venus vein tests. I'm 41. I wanted to know if I'm in trouble? I'm doing my usual cardio, hiit exercises every week. Diet is always low carbs because my husband has CKD. Do I really need to take the statin? Appreciate any help pls!
Hi Doctor here are my cholesterol HDL-110 Triglycerides-64 LDL- 214 Non-smokers, no overweight Mi doctor wants to put me on statin. I don’t want to. Please help me
great video, just want to mention something else based on my research, this ratio isn't perfect without flaw, there was another index taken BMI into consideration introduced in the past few years called SPISE = 600 × HDL-cholesterol0.185/triglycerides0.2/BMI1.338 looks to be a better indicator for insulin resistance compared with HOMA-IR result, for those who have relatively low TC/HDL ratio but also low TC and HDL number, if you don't eat plant based diet, then you are most likely insulin resistant so you have to look at both not just the ratio. Normally when you switch to a low carb diet you should expect to see TC coming down while HDL goes up above 60, if HDL doesn't then you may have higher insulin resistant problem. Also similar to different types of LDL particles, it seems HDL particles are not created equal too, some people may have very high HDL due to genetics but doesn't necessarily mean it has good protection of atherosclerosis, you may want to do an HDL function panel which isn't a commonly used test
Dr. Brewer - Will you elaborate more on Remnant Cholesterol or it is already covered in one of your other videos? This is a subject that I'had never known anything about until now. My RC# is 22 and my Tg/Hdl ratio is 1 (108/108). My primary doctor wants to put me on Lipitor 40mg, I want to make sure this is the correct course for me. My LDL is high at 182, in perfect health otherwise. Please advise. Thank you in advance.
@@barasra8847 - mostly heraditary I believe but also life style, a well balanced diet. Avoid medication if at all possible. I follow Dr. Rob Lustig, a true healer.
Great Vid! Im 75 and LDL 117, HDL 34, Trig 135 and these numbers got worse after 7 months of a vegan low fat diet? I did quit statin for 3 months is that it? What is happening?
Hi doc, I was told that I need meds based on this but I am only 25 and it is a low Triglyceride/HDL ratio. What dyou think? Total Cholesterol: 289 Triglycerides: 43 HDL: 80 LDL: 200
Here are my results. Total Cholesterol: 221 Triglycerides: 63 HDL: 50 LDL: 160 I have a good HDL/Triglyceride ratio. Should I be concerned about my LDL or no?
My measurements are in mmol/L in the UK. Can you convert to your units? My Triglycerides =1.55 mmol/L. HDL=1.62 mmol/L. LDL=4.77 mmol/L. TRY:HDL 0.95? Is that ok?
Got my blood woork back after 3 months on statins and eating lots of Omega 3 foods and fish oil. ...HDL 64...LDL 133...VLDL was in the middle. Triglycerides 75...HDL/LDL ratio 2.1. HDL/ Triglycerides ratio 1.1. My doc wants to up my statin. Dont you think he's wrong??
Triglycerides hdl ratio 5.7 Total cholesterol Hdl ratio 5.7 Hdl 28 Ldl 99 Vldl 28 Total cholesterol 160 Triglycerides 160 Is it dangerous me im young I have hypertension 140/98 Low blood sugar 80
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For the first time, I’ve had some unusual bloodwork numbers. My A1c just went to 6.3, my triglycerides went from 156 to 231. My LDL went down to 22 and my VLDL went up 46. Does anybody have an idea what’s going on?
My LDL is 180 and my doctor says it is too high and is considering prescribing a statin drug. However my HDL is 88 and my triglycerides are 35 and my total cholesterol is 275. So my triglycerides/HDL ratio is less than 0.4. I am questioning my doctors recommendation that I should be on a statin drug because my LDL is 180.
Nevermind, I didn't watch your video from the beginning. Now I got it. I first thought your slides are not your own but that you are reacting to somebody else's slides. I'm gonna delete my comment tomorrow. Great video, I love it!
Well ...mine is 16.27 , Trigly 602 and hdl 37. Feel good and still active swimming and dynamic no fins fan, age 53. Just can not stop eating shrimp and crabs...enjoy life why worry to pharmacy industries😊
Nice Video...bit confused on my results... Triglycerides of 88 but total Cholesterol of 298. Does a lower Triglycerides have an effect on LDL/HDL numbers?
I am in the same condition LDL is always high everything else is perfectly normal. However, my arteries, at 66, show no sign of sickness. I do low carb and two meals twice a day, with exercise. Feel better and all my other lab # are good. Get you a new dr willing to go beyond the old adding # test.
Thanks for the video. I was informed that my HDL is low because my TC is so low 105 that the need for lots of HDL is not needed to do its job . Please comment.
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My triglycerides are only 78 and they said I am pre-diabetic, so shouldn’t they be really high? I wish you would let me know your opinion on this please. I already had bypass surgery last year.
I'm 37
my LDL is 59
My HDL is 35
Triglycerides 80
A1C is 4.8
Should I be worried about the low HDL of 35?? I'm not over weight I don't smoke.
Great question ! I worry about low hdl in young people. The evidence says we should.
@@PrevMedHealth what do I do?
@@PrevMedHealth doc am I ok?
37 male
HDL is 35
LDL is 59
Triglycerides 80
Lipoprotein little a is 95 noml L
@@PrevMedHealth doc can you answer me?
@@PrevMedHealth how worried should I be??? Can you answer me please
From those of us who lost our jobs and are struggling to feel our families, we so greatly appreciate you giving us this information freely to help us stay healthy! Thank you!
Thank you very much!
You are very welcome
@@PrevMedHealth My triglycerides are above 300 and my HDL is around 60 so the Tg/ HDL ratio is about 5. I am 50. I don't smoke or drink. I have tried to lower my triglycerides for more than 15 years now, changing meds with the consultation of my physician. But my tgs are very stubborn. I also have a renal issue. I consult my nephrologist regularly. What is your advice for me ?
@@siddharthshekhar909 Very low/no carb plus exercize.
Thank you for the information. All i get from my primary is pill after pill with zero conversation. I know she will scoff at my next visit and I mention all of these excellent youtube videos even though my blood work will be vastly improved.
I dropped 80 lbs in 8 months. Dr wanted to Rx a statin, oral insulin, BP meds and a CPAP. Asked her to give me 6 months. Better nutrition choices, no alcohol, no sugar, calorie deficit, and intermittent fasting daily exercise. In one year my Triglyceride went from 173 down to 54. HDL went up from 38 to 57. Oh, and didn't completely eliminate carbs other than cut out bread, pasta, not much rice.
Where did you drop your 80 lbs?👀 Do you worry that it never found itself a new home? 🤔
@@PauloAdriano-zo2nglol
After 5 months on keto, my HDL number nearly doubled to 76 while my triglycerides dropped from 76 to 56, so my triglyceride/HDL ration dropped from 1.86 to 0.74. My dr. was so happy with that & the weight I lost he didn't care that my LDL was high. I also got off of 4 hypertension meds, some I had been on for 20 years.
Thanks for sharing that!
How much weight did you lose?
Seems you have a good doctor. My cardiologist apparently only sees LDL.
@@jerseyjim9092 ditch him sooner
what is your LDL level
I had a heart attack at 56 two years ago. Helicopter ride, 3 stents, survived. Got CAC score, high. My triglycerides/HDL was around 8x. I then went LCHF, and my ratio dropped to 1.1x, and is in the 1-2 range today. My Mayo cardiologist is fixated on LDL, wants me on PCSK9 inhibitor. No way. To his credit, when I told him about tri/HDL, he looked it up on the internet. I hate statins, they mess with my head, and I consider LDL to be good. sdLDL not so much. Anyway, I am sticking with low carb for life and will remain focused on tri/HDL. Hopefully that'll help me keep that CAC score from growing. My understanding is that stabilizing the CAC score equates to sharp lessening of risk of another heart attack....
Thanks for sharing that!
Good for you!!👍👏
Thanks for sharing that. I wish other docs we're more open to learning.
It's still a marker, you eat fatty refined foods and your cholesterol will go up. You eat omlettes everyday your cholesterol will increase. What is the cholesterol level of those people scheduled for coronary bypass operations.. the TC/HDL is always poor. High cholesterol is often a sign of bad diet. It's not a cause but the fraction is a strong marker. If you want evidence I refer you to the Appendix of an old book called the Pritikin Program for Diet and Exercise, all these studies are shown.
@@TB1M1 Well, I also had a year ago a ultra-high TC/HDL-C ratio. My GP - an internal medicin specialist - only looked at the LDL-C, saying everything else was OK. TC was above 300 mg/dl and HDL-C below 40, i.e. the mass concentration ratio close to 9. That was on a whole food carb-rich, fruit-rich, low-meat, no fast food "healthy" diet. My AIP, the artherisclerotic index of plasma" was through the roof (>0.5). My GP did described Rosuvastatin for primary prevention due to the borderline high LDL-C: I took it for a month.
Now I am for 7 months on a LCHF diet: LDL-C went marginally down (- 10 mg/dl), but the TC fell below 80 mg/dl and HDL-C rose to 50. AIP is negative now and according to all CVD-models I'm at much lower risk. For the Framingham Offspring Study model I went from the "very high risk" to the "low risk" group.
By the way, with an average of 3 eggs a day and nearly all fat from dairy (cheese, full fat yogurt and "quark", butter, ghee). Eggs and therefore omlettes are not a risk factor for CVD, that idea is outdated. Key was imho to get rid of starches and sweet fruits. That for the diatary advice...
It is frightening that the original poster had to educate an Mayo clinic cardiologist about the TC/HDL-C and the AIP. My German "internal medicin specialist", in some way also a specialist in CVD, is similar ignorant for scientific facts found 15 years ago. And that is in the USA and in Germany, with all the money that goes into the medical sector in these countries we should have better doctors...
Total cholesterol- 480
Triglycerides- 104
HDL- 64
VLVD CAL-17
LDL CHOL CAL -399.
lean mass hyper reponder?
6 months on strick carnivore and havent felt this good in year's.
How are you doing now? What is your ldl level?
The Dogmatic practice of ignoring elevated insulin and treating elevated glucose & cholesterol with medication is a heavily marketed concept in the Medical Community.
Thanks for this presentation.
Thanks
@@PrevMedHealth have you heard of Dr. Richard K Bernstein for treating diabetics and pre diabetics with a low carbohydrate high protein diet? His plan reversed the onset of diabetic nephropathy after 23 years of T1D. Now my eGFR rose from 84 to 101 in just 8 months of HbA1c below 5% He also mentions the triglycerides/HDL ratio, mine went from 4.5 to 0.9 in those 8 months. Wish more clinical doctors actually gave patients good information for self care instead of dealing with the complications of a poor diet.
Pedro Jauregui Sure! I’ve done videos on him. He’s one of my heroes.
Remember: The medical and pharmaceutical sectors are, in fact, industries that require a continuous supply of sick individuals. The financial priorities of the governing corporations, institutions, associations, and politicians are inversely correlated to the general health of the U.S. population.
Ugh.. Lost 80 lbs over the course of 5 years, reversed Type 2 Diabetes, have a current Trig /HDL ratio of .56 (HDL=88, Trigs=49) and my Dr. wants to kill me because my LDL is very high (Type A fluffy). Never had much of a cholesterol problem until I lost all that weight. Ordered my own NMR lipid profile and tried to go over it with my Dr.. His response was, "you probably know more about this than I do." Great, appreciate the honesty but can't get any straight answers in this world of corporate medicine!
You know that large LDL is arterogenic too? You want to compleatly ignore that for the fact that it might be (not proven) less arterogenic then sdLDL?
You are still at higher risk then normal due to Type 2 diabetes, probably had high blood pressure.
LDL target should be below 100 which you could try with diet by replacing saturated with unsaturated fat and especially meat and butter, most dairy is fine, according to newer studies.
@@stellasternchen😂😂😂😂
You didn’t get what he said?
@@diegodesouza9697
Since you commented, I can tell you why this happened to the poster here. I‘ve since read some studies.
Cholesterol rises with BMI only in normal weight. Obese have stable or lower cholesterol.
Why? Triglycerides are everywhere in the LDL and HDL particles and thus less cholesterol is transported when you are metabolically unhealthy.
High Trigs, low HDL-C and normal or even low LDL-C.
Feb Annual Physical: 96/59 = 1.6 Three weeks ago after 4mo Clean Keto: 57/78 = 0.7 Sweet!
Congratulations! Thanks for sharing that
You did great. Will you stay on keto, or go to low carb?
A mix. Primarily clean Keto combined with Intermittent Fasting. My Dr and Nutritionist however have built in 1-2 (Up to me) "Recovery Days" per week where I am to carb up a bit. This doesn't mean I go for pizza and beer, but rather can indulge in plenty of good carbs from low GI fruits and high fiber vegetables. I do occasionally sneak in that pizza and beer though, which can really be worth the total fast I do the following day. :-)
Everyone should aspire to be just like you.
My TRG was never high at around 60, but my HDL would be around 40. My first physical after 4 months on keto, my TRG dropped to 40 while my HDL went up to 60 making my TRG/HDL ratio under 1.
Thank you for stating the UK measuring format too.
You are very welcome.
Also. There are references to HDL/TG vs TG/HDL . The ratio that is important is that HDL is greater than TG, or that TG is less than HDL, That can be explained much more clearly. Best if TG is half of HDL, or if HDL is twice the TG.
Terrific discussion & presentation Dr. Brewer! I hope that you are going to cover plaque formation of the endothelial lining at some point. No one has explained why LDL (which is a much larger molecule than HDL) is taken up & deposited in the walls over HDL. Since the HDL molecule is much smaller, you would think that it would more easily diffuse across the membrane & be preferentially deposited. In any event, keep up the great work that you are doing.........Be well & stay safe.........👍👍😉😉
Thanks
I have been reading that while all of these numbers are great to have, endothelial function is very important to the whole picture.
Inflammation in the arteries is caused primarily by habitually high blood sugar and insulin resistance. Stop eating sugar, bread, and highly refined carbs and foods; eat a very low-carb diet; stop drinking soda (with natural and artificial sweeteners); and stop drinking all alcohol. Eat a diet high in vegetables. Eat only meat (and eggs) from pasture-raised animals fed organic feed to keep Omega-3 higher than Omega-6 (also no antibiotics in the feed). Exercise daily (weight resistance and aerobic exercise). Keep your BMI under 25. Do all of this and include taking the right supplements like Vitamin K2, Vitamin D, Magnesium, Omega-3 fish oil, virgin olive oil, and Niacin (non-flush-free) - triglycerides will fall dramatically, and plaque formation will be reduced, eliminated, and possibly reversed. I am not a doctor - just a guy with common sense who reads a lot. All it takes is knowledge and self-discipline.
Here are 3 questions, for everyone's benefit:
1. What is the ideal ratio, and how does it vary based on race or culture/region?
2. When calculating the ratio, should we use TG/HDL or HDL/TG?
3. What other test results should be considered when determining the final ratio, such as T4 and others?
Your expertise, and videos, are greatly appreciated.
Thanks @prevmed health for NOT answering my questions.
The good Dr did say in the video that the ideal level of trigs/hdl ratio is
Dude.. he answered your question in the video (about Triglycerides and hdl
Ratio). Find it yourself. I won’t answer the question for you.
The way its written in the title is...Triglycerides/Hdl
LDL 200
HDL 90
Cholesterol 299
Triglycerides 43
I'm 36 yo female, healthy diet, exercise regularly, BMI 21, A1C 4.9, random insulin level 3. I had my labs come back and my lipid panel looks concerning but makes no sense
. Trying to make sense of these numbers.
I've read this study before. But, there are some serious exceptions to it. In my case, my TG are below 100, and my HDL is in the 70's. My calculated ratio is around 1.35, which is way below the 3.0 ratio which indicates severe risk for CAD. It's always been around that level. And, yet, at 47, I have REALLY BAD CAD. I don't smoke either. I used to know an older Pakistani guy who had familial hypercholestemia and unreal high TG. He told me his whole story. Great runner too, by the way, and I used to run hills and long runs with the guy. When he was in his 30's, he had a blood test, and the nurses immediately called his wife and told her he needs to get into the hospital ASAP. His TG were literally in the thousands. He also had high cholesterol levels. He said he tried dieting and stopped eating anything with fats or cholesterol, and he said his #'s barely went down 10%. But, he kept trying that and exercising and eventually started Niacin therapy. He did this for 20 years, and finally gave into statins. But, he had a stress echo and carotid IMT and they said his carotids were clean. Not sure what his coronaries looked like, but at 55 years of age, he had no real sign of heart disease.
So, anyways, there's always exceptions to these studies.
Yes. Medicine isn’t as predictable as engineering.
Yes, we are one and unique. Never compare to another human being's physiology. As patients, we should be treated as unique individuals and not like equal physiological beings.
What is CAD?
@@ast-og-losta Coronary Artery Disease
@@200Nora Thank you;)
Really appreciate the colored Slides & written explanation, much easier to understand by going back to match hearingv& written word. Hearing language from 50 years ago does not compute as fast in a 73 yo brain.
I was very upset with you on Saturday when I could only listen & not see the printed words.
A big THANK YOU❤
High TG in the blood is from the liver turning all the excess glucose you eat into fat and shipping it off to be stored. You fix this by going low carb/keto. Good numbers are TG below 80 and HDL above 60. So a ratio of 1.3. Otherwise you are likely pattern B and at risk.
My heart went out of rhythm and I was prescribed 13 different meds. My triglycerides went to 2150. My cholesterol went to 135, hdl was 29, ldi was in the 50s. My blood sugar was in the 90s.
Last doctor visit my triglycerides were at 65. My cholesterol was 159. My hdl was at 58. My ldl was at 99. My blood sugar was 153.
How did u survive with 2000 triglycerides lol that's a miracle
It did not bother me or slow me down.
Do you have heart disease
God bless Dr Brewer !!!!!!- I really appreciate your enlightenment in these lectures regarding Triglycerides. Thank you.
Thanks
Ok so to simplify/summarize, what shld the triglycerides / hdl be?? And lowering...processed food consumption will lower that ratio for sure..and refined carbs. There are different types of carbs and diff types of fats.
My HDL was 60 and my triglycerides 70 my LDL 160 (always been elevated since my youth), and I was 66 when diagnosed with pre diabetes. See there are some of us with almost great number that deviate from the rule. I got familial DM2 trait; I never been overweight, and always followed a moderate approach to health with food and life style. I do not have HTN either. Regardless, here I was been told I was pre diabetic. What a disappointment. After the initial shock, I went on to follow a keto diet with IF two meals a day and increased my exercise routine. My CAC is 0 score. I believe I have the fluffy LDL particle most abundant. I am thinking about an NMR test. But my ratio of t/h is good, and always has been. My dr has been unsuccessful at getting me to accept the statins. I do not think my LDL is a problem. My HDL and trig are even better in 2023 90 and 47. The human body can be very deceiving; we are similar, but not the same.
I’m 61 male. Your numbers are very similar to mine. My trys are 79, HDL 61, LDL 131, VLDL 14. Total 236. So…my trys over HDL is greatly improved, VLDL is good. but my LDL and total went to the moon. Lots of working out, in good shape, not fat, green shakes and salads. But lots of fat..salmon, grass fed meats, organic chicken, real cheese, various nuts. But…I’ve been pre diabetic 5.9 A1C, 123 average glucose. Resting glucose 100. Don’t know how to get sugars down.
Hey, ynotttt...
Looks like you're doing so much. Keep at it. Don't give up. Maybe try strict carnivore - the lion diet - just beef water & salt for about a month or so then revisit & you will see how you feel & how much more you improve then maybe do another month or decide to introduce other ruminant animals like lamb, sheep etc. It may just be all you need to help get those sugars down more that you're still battling with! Doesn't have to be forever. Just a little extra tweak to your Keto/low carb lifestyle you may want to explore. It doesn't cost you anything but may just be that one approach & tool that may prove to be beneficial 😊 It's helped me & many many others tremendously. I've never looked back!
@@cc2020-d4w ……thanks for advice. I’m taking all advice seriously.
Great video!! I'm a 60 yr old woman. My levels are as follows: Total Cholesterol-230, TG 60, HDL 74, LDL 146 ApoB is 102, which shows it's 'high'. Will I have to consider getting on a Statin? I hope not! Also, what's my TG/HDL Ratio?Thanks!
it’s good that these videos use uk and us units interchangeably
What is a good ratio for Tri/HDL?
Can someone have ideal HDL, triclycerides, LP (a), but yet have APO B that is well above the recommended upper limit? And if so, would that high reading still carry the same weight regarding risk?
2 years ketovore. My trig:hdl is 68:57 or 1.19. I'm delighted.
Excellent!
Hello. What is considered a good range for Tri/hdl ratio?
Cleveland Heart Lab has a new test called HDL function. It looks at specific proteins found on HDL particles. Can you do a video about that one?
any recent news?
Thanks for this information.
I’m 64. My most recent lipid panel is as follows……
LDL - 101
HDL - 90
TG - 61
My TG/HDL ratio is .67
I lost 25 lbs cutting back on carbs and sugar along with regular exercise and has got me going in the right direction.
"we talk about that in just few minutes" is very common phrase used by this doctor !
Another great video !!
I've recently had my AAA repaired after discovering it 12 years ago.
I had to have a Cardiologist do an angioplasty to rule out a blockage but found none and so he oked the surgery for the AAA.
I'd like to add that the blockage was 50% in 2002 but clear now as are my caroids that were 49 and 47 % blocked but now are less than 12%.
I had a Y branch stent in my aorta and femal arteries and although I was sore for a bit I'm back to working building my sand bag house carrying 50 pound bags up the ladder and I'm 75 now.
I've gotten a release from my Vascular surgeon a month ago after 10 months of no workouts and working and not lifting over 10 pounds.
She said be prepared to spend 5 days for recovery but was released in 24 hours as my health was excellent after changing my entire lifestyle for the past 20 yrars.
I've explained that I worked for Abbotts and don't take meds of any kind and I'm very proactive about my health.
I've been watching your channel for years now and admire your no nonsense delivery to us who need direction.
Keep the videos coming and touching many lives.
GOD bless you.
What does AAA stand for?
Thanks for the informative video Dr. Brewer, I've always been health conscience. Thought I was doing the right thing, sounds like to my own detriment. I was wrong. I've been going through a liter of extra virgin olive oil consuming it daily with lemon juice in a shot glass every morning thinking I was cleaning out my arteries! From the sound of it I hope that I have not caused heart damage or plaque buildup in my arteries.
Interesting. My total cholesterol is ALWAYS high. However, my HDL is always very good. Last test showed 257 total, 167 LDL, 46 TGL and 82 HDL. So my TGL/HDL ratio is below 1 and my Total/HDL ratio is 3.1. I work out a lot and I've always eaten fairly decent. I'm eating a lot better now because my doctor told me that my blood pressure was higher than normal. I try to eat a lot of blueberries, raw broccoli, cauliflower and carrots and at least 1 avocado a day.
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Go for less carbs
Excellent as always!!
This is so interesting. It makes me feel a bit better after receiving my blood work . After 9 months on Repatha my LDL is higher than I would like BUT my triglycerides went down to .51 ( canada) and HDL up. ( my tri/HDL ratio is .2 ). I do have FH also follow a Mediterranean diet. I know my lipid specialist isn’t going to like the LDL number but will be interesting to see if my plaque has gone down in my carotid ultrasound.
What was that second part again ?
Eating too much sugar/starch = elevated levels of triglycerides. Get your HDL over 40 and your triglycerides below 100-ish so your Hdl/TIA ratio is less than 1 and you can worry less.
I’m 70 years old on keto
LDL 160
HDL 133
triglycerides 54
Ratio would be 0.40. Is that correct?
This is a bit over detailed and complicated. It needs a summary.
But my take away is if the triglycerides are low and HDL is high it’s good, right?
My doctor told me my lipid test were good....very good. But my Try/HDL is 6. Im on a diet now. Very good video. Thank you;)
Thanks for sharing. & for taking the warning.
43 M Carnivore ldl 290 total 390, testosterone 1061. I made a video talking with Dave from no carb life. triglycerides / hdl ratio 1.2
I'm in my 60's. My triglycerides are 10 times my HDL. No heart disease according to two cardiologists. Imaging of heart and arteries are "Excellent". I'm happy about that but don't know why this is. My parents had perfect lipid panels yet both died from CV issues. I'm the one with crummy lipid tests and clean and clear arteries.
How much ldl you have
@@sheddkkhan6758 LDL runs around 200.
I just got my lipid test results back. Everything looks great except my HDL is only 32. My total cholesterol was 94. I have never had low HDL. I suspect the statin the cardiologist insists I take because my LDL and total was very high once. I’ve always been able to bring that right back down by drinking more water, less sweets, no fried or fast foods and fewer carbs.
Decreasing carbs usually helps improve HDL.
@@PrevMedHealth would the 40mg of Lipitor be keeping the HDL low as well?
My triglycerides are low .94mmols/L but my HDL is also really low 2.2mmols/L and my ratio is 0.42 which is excellent, so why are they both low and my ratio is great but I’m told my HDL is too low?? My LDL is calculated at 5.0mmols/L total cholesterol is 7.7mmols/L (deemed high), I have a feeling that I have become an FH after months of keto and lots of walking so I re-introduced some carbs. My bloods were taken after 16 hours if fasting but my fasting glucose was quite high at 5.5mmols/L (I’m in Ireland 🇮🇪). I can’t seem to get any answers in what the story is when BOTH tri and HDL are low… genetics?
Ethnicity does play a significant role.
Great video!
A recent blood work reveals:
TC 273
HDL 59
TG 58
LDL 208
TG/HDL Ratio 1.0
Please, should I go on statins? Have high blood pressure and suspect FH.
You're great if your TG/HDL ratio would be higher than 2.0 then you should change what your doing but actually you are great keep doing that
My HDL is 97 and triglycerides of 54, way less than 1. WOO-HOO. 💪🙏
The easiest way, no matter what the individual measurements are, is to say "The bigger # over the smaller # should be bigger than 2:1, with respect to 3-Glyc and HDL .. focussing on the good stuff (HDL)
I am hoping you can just show the ratios from Ideal, good, to bad.
Hi Dr. Brewer, my cholesterol test results are as follows: total cholesterol=263, HDL=85, Triglycerides=53, LDL=169 (Apo A 1.7, Apo B=1.1). My blood pressure is 100/60. Glucose = 90. My BMI= 20.5. I am a 49 years old woman. I’ve been on intermittent fasting (16/8) and low carb diet for the last 2 years. Should I be worried about high LDL? I’am so confused as different doctors have told me completely different things…
your pannel of your lab results is awesome
Hello doctor
My HDL 53
Triglyceride 133
LDL 135
LDL/HDL ratio 2.6
How is it?
Since going on a keto diet my labs have improved tremendously. My LDL is slightly high at 136 but I'm not worried about it because I would bet it's mainly the large type LDL. My cholesterol is 200. HDL is 54 and Trigl is 48. Should I be worried?
What are your other risk factors. If you had coronary heart disease I would worry about your LDL-C, If you don‘t really have any risk factors I don‘t. Does not matter if it is only the large type. They cause arteriosclerosis too and should not be ignored.
Neither should be insulin resistance. Both are important.
The danger of this exact ratio is to just ignore high LDL. This is the case by many low carb gurus telling people to just do that if TG/HDL is good. The thing is you can have arteriosclerosis and heart attacks as well when you are metabolically healthy.
I would not put so much emphasis on HDL, HDL increasing drugs were tested and had no effect on cardiovascular risk.
Your triglycerides are low, that‘s good.
Latest lipid profile: hdl-83, ldl-179, tg-81.. Can I do without statins as ratio seems OK..
53 total cholesterol 161 HDL 44 ldl 99 triglycerides 92 . Ratio 3.7 is that good
My Tri is 60 and my HDL is 61 so my ration is is around 1.0....is that good,fair or bad ?
My HDL/TGl was tested at less than 1…that test was completed at the University Hospital where I was being treated for a heart attack! Please advise
Im confused. Can someone tell me if im high risk or at risk for cardiac issues? Total cholesterol: 223; Triglycerides 62; HDL 74; LDL 134; Glucose 78. I do have hypothyroidism, 37 yr old F, non smoker/drinker, exercise daily, 127lbs, I do intermittent fasting daily. My endocrinologist told me to go plant base to lower my TPO thyroid antibodies since they are extremely high (330).
My numbers at the time I was doing lion diet. Note I am on a statin - Cholesterol 110, HDL 66, LDL 31, trigs 64, APOB 45, Non HDL 44. He commented it was the best improvement he’d ever seen. I didn’t tell I had changed my diet to carnivore.
Thanks for sharing.
So? I didn't understand the olive oil issue and the risk of a heart attack. Is it so bad for the health? Isn't that europeans eat lots of olive oil?
Hi Doc, I'm a new subscriber here. I'm truly amazed at how passionate and succinct your videos are! I just had my lipid profile test. I'm from the Philippines and not sure if we have the advanced version of the test. Here are my results:
Total Cholesterol: 4.88 mmol/l
HDL: 1.38 mmol/l
TG:. 71 mmol/l
Direct LDL: 3.40 mmol/l
VLDL:. 32 mmol/l
Our cardiologist said I should take avator/statin to lower it down. I didn't do it cause it felt like it was a shortcut and just couldn't believe that is the only solution. I have no diabetes. I passed my stress test and venus vein tests. I'm 41. I wanted to know if I'm in trouble? I'm doing my usual cardio, hiit exercises every week. Diet is always low carbs because my husband has CKD. Do I really need to take the statin? Appreciate any help pls!
Sorry...which ratio is good...? And which ratio is bad...? Triglyceride/HDL ratio. Thank you?
What is FH?
We use MMol here, when i convert the results and run the math, i get different ratios!??
I am 65.
TG 57
HDL 60
A1C 5.8
=========
A year ago:
TG 227
HDL 41
A1C 5.8
========
Any questions?
I didn't think so.
Thank you 🙏 ❤
My LDL is 226 everything else normal should I be concerned?
Is there a link between high Lipoprotein (a) and Gilberts Syndrome? Does high Bilirubin have an anti-inflammatory effect on cardiac health?
I had high Bilirubin. I found out I had fatty liver. Have your doctor ultrasound your liver.
Hi Doctor here are my cholesterol
HDL-110
Triglycerides-64
LDL- 214
Non-smokers, no overweight
Mi doctor wants to put me on statin. I don’t want to. Please help me
Once my hdl was 42. Then I used to take falax seeds. It reached 69. Now I am in keto diet. My hdl is 108 with triglycerides 48.
great video, just want to mention something else based on my research, this ratio isn't perfect without flaw, there was another index taken BMI into consideration introduced in the past few years called SPISE = 600 × HDL-cholesterol0.185/triglycerides0.2/BMI1.338 looks to be a better indicator for insulin resistance compared with HOMA-IR result, for those who have relatively low TC/HDL ratio but also low TC and HDL number, if you don't eat plant based diet, then you are most likely insulin resistant so you have to look at both not just the ratio. Normally when you switch to a low carb diet you should expect to see TC coming down while HDL goes up above 60, if HDL doesn't then you may have higher insulin resistant problem. Also similar to different types of LDL particles, it seems HDL particles are not created equal too, some people may have very high HDL due to genetics but doesn't necessarily mean it has good protection of atherosclerosis, you may want to do an HDL function panel which isn't a commonly used test
Dr. Brewer - Will you elaborate more on Remnant Cholesterol or it is already covered in one of your other videos? This is a subject that I'had never known anything about until now. My RC# is 22 and my Tg/Hdl ratio is 1 (108/108). My primary doctor wants to put me on Lipitor 40mg, I want to make sure this is the correct course for me. My LDL is high at 182, in perfect health otherwise. Please advise. Thank you in advance.
How did you get such high HDL, please share thanks
@@barasra8847 - mostly heraditary I believe but also life style, a well balanced diet. Avoid medication if at all possible. I follow Dr. Rob Lustig, a true healer.
My HDL/TG is 1. Is this good?
These are my numbers: TRIG 58 HDL 80. Ratio : 0.7 Is this OK?
Great Vid! Im 75 and LDL 117, HDL 34, Trig 135 and these numbers got worse after 7 months of a vegan low fat diet? I did quit statin for 3 months is that it? What is happening?
Hi doc, I was told that I need meds based on this but I am only 25 and it is a low Triglyceride/HDL ratio. What dyou think?
Total Cholesterol: 289
Triglycerides: 43
HDL: 80
LDL: 200
No, you don’t need meds bc your numbers are what everyone needs to achieve. Switch doctors bc yours is a quack with zero knowledge
If high triglycerides means pre-diabetes why my sugar level low while triglycerides high?
Your graphs with the r ed circl & arrow is confusing, makes very little sense with what you are trying to describe.
I am 46, My HDL is 51, Triglycerides 80, and LDL 171. Should I be worried? My fasting glucose is 81.
Excellent video. I have already shared with a friend. My Triglycerides/ HDL ratio is under 1.
Thanks. And congratulations on accomplishing that!
Here are my results.
Total Cholesterol: 221
Triglycerides: 63
HDL: 50
LDL: 160
I have a good HDL/Triglyceride ratio. Should I be concerned about my LDL or no?
Many would be. I’m more concerned about your Insulin survey
@@PrevMedHealth Do you recommend a specific test for my insulin?
@@PrevMedHealth My Ha1c is 4.9
My measurements are in mmol/L in the UK. Can you convert to your units? My Triglycerides =1.55 mmol/L. HDL=1.62 mmol/L. LDL=4.77 mmol/L. TRY:HDL 0.95? Is that ok?
Got my blood woork back after 3 months on statins and eating lots of Omega 3 foods and fish oil. ...HDL 64...LDL 133...VLDL was in the middle. Triglycerides 75...HDL/LDL ratio 2.1. HDL/ Triglycerides ratio 1.1.
My doc wants to up my statin. Dont you think he's wrong??
Great question. & it looks like you are doing good work (great TG/HDL!) But I would have to see you & learn more first.
Triglycerides hdl ratio 5.7
Total cholesterol Hdl ratio 5.7
Hdl 28
Ldl 99
Vldl 28
Total cholesterol 160
Triglycerides 160
Is it dangerous me im young
I have hypertension 140/98
Low blood sugar 80
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Thank you very much for the helpful videos
Thanks.
Wifey has a recent blood test. Her ratio was 1.09. :-)
Good for her. Thanks for sharing
Thank you from the bottom of my "heart" :-)
Thank you
You are very welcome
For the first time, I’ve had some unusual bloodwork numbers. My A1c just went to 6.3, my triglycerides went from 156 to 231. My LDL went down to 22 and my VLDL went up 46. Does anybody have an idea what’s going on?
My latest lipid profile is my triglyceride is high ang my LDL is high and my HDL is low what should i do?
Sir my
Triglycerides are 83.5
Hdl is 48.33
Triglyceride/hdl ratio is 1.73
But my ldl is 142, have any suggestions or opinion.
My LDL is 180 and my doctor says it is too high and is considering prescribing a statin drug. However my HDL is 88 and my triglycerides are 35 and my total cholesterol is 275. So my triglycerides/HDL ratio is less than 0.4. I am questioning my doctors recommendation that I should be on a statin drug because my LDL is 180.
The decision as to taking a statin is yours to make. Your doctor works for you, not you for your doctor.
Why don't you just post a video to the original video?
I don’t understand your question.
@@PrevMedHealth Is there a video with Chuck presenting these slides?
I'd prefer to first watch the original video and then your reaction.
Nevermind, I didn't watch your video from the beginning.
Now I got it.
I first thought your slides are not your own but that you are reacting to somebody else's slides.
I'm gonna delete my comment tomorrow.
Great video, I love it!
Wait, so olive oil isn’t good for you like some doctors think?????
My husband triglycerides are 108 HDL 37 and LDL 126 how can this be fixed he dont eat out that much but he loves mash potatoes..
Well ...mine is 16.27 , Trigly 602 and hdl 37. Feel good and still active swimming and dynamic no fins fan, age 53. Just can not stop eating shrimp and crabs...enjoy life why worry to pharmacy industries😊
Excellent information, looking for your next video, Thank you👏😃👍
Thanks 🙏
Nice Video...bit confused on my results... Triglycerides of 88 but total Cholesterol of 298. Does a lower Triglycerides have an effect on LDL/HDL numbers?
I am in the same condition LDL is always high everything else is perfectly normal. However, my arteries, at 66, show no sign of sickness. I do low carb and two meals twice a day, with exercise. Feel better and all my other lab # are good. Get you a new dr willing to go beyond the old adding # test.
Thanks for the video. I was informed that my HDL is low because my TC is so low 105 that the need for lots of HDL is not needed to do its job . Please comment.
Low HDL is usually due to a carb metabolism problem.
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Is there a U CURVE study on LDL?
My triglycerides are only 78 and they said I am pre-diabetic, so shouldn’t they be really high? I wish you would let me know your opinion on this please. I already had bypass surgery last year.